胰腺癌超声内镜文章投稿修回4-2014.5.10.docVIP

临床论著 增强超声内镜与增强CT诊断胰腺肿块对比分析 胡萍萍1许丰1 孙柯科1 陆德文1 史久煜1李小平1 1.浙江省宁波市鄞州人民医院 消化内科；浙江省，宁波，315040 摘要：目的 探讨增强超声内镜（CE-EUS）和增强CT(CE-CT)对胰腺肿块患者的诊断价值。方法 对2010年5月至2013年6月期间，共42例，将这些手术病理确诊的胰腺肿块纳入研究，并将患者的术前CE-EUS与CE-CT检查结果进行比较。结果 42例胰腺肿块的患者中，24例手术病理确诊为胰腺腺癌，CE-EUS检查胰腺癌的敏感度为91.7％，特异度88.8％，阳性预测值为91.6％，阴性预测值为88.8％。CE-CT术前诊断21例，诊断准确率为87.5％。结论 CE-EUS在胰腺肿块的诊断中具有较高的特异性和准确性，与CE-CT联合应用有助于胰腺疾病的诊断。 关键词：胰腺肿块；增强超声内镜；增强CT 中图分类号：R73 文献标识码：A (收稿日期：2013-11-29 *基金项目： 宁波市医学科技计划项目（2010A15) [通信作者] 许丰，E-mail： hpp441@，Tel: 057487016991 Comparison and analysis about contrast-enhanced endoscopic ultrasonography and enhanced CT in diagnosis of pancreatic mass* HU Ping-ping1 , XU Feng1 , SUN Ke-ke1 , LU De-wen 1, SHI Jiu-yv1，LI Xiao-ping1 (1.Ningbo Yinzhou Peoples Hospital of Zhejiang province, Ningbo, Zhejiang province 315040, P.R.China; ) Abstract: 【Objective】 objective: to investigate the diagnostic value of contrast-enhanced endoscopic ultrasonography (CE - EUS) and enhance CT in patients with pancreatic placeholder. 【Methods】between May 2010—June 2013, a total of 42 patients with pancreatic mass，Surgical pathology confirmed the diagnosis， routine carry out preoperative CE - EUS and enhanced CT examination, and then compare the result of the examination. 【Results】42 cases with pancreas placeholder patients, 24 patients diagnosed with pancreatic adenocarcinoma by surgical pathology,The sensitivity of the CE - EUS examination about pancreatic cancer was 91.7%, specific degree 88.8%, positive predictive value was 91.6%, negative predictive value of 88.8%. 21 cases was preoperative diagnosed by CE - CT, diagnostic accuracy was 87.5%.【Conclusions】CE - EUS is more specificity and accuracy in the diagnosis of pancreatic placeholder, and if combined with enhancement CT it will be helpful to the diagnosis of pancreatic diseases. Key words: pancreatic mass；contrast-enhanced endoscopic ultrasonography； enhanced CT 胰腺癌是胰腺最常见的恶性肿瘤，发病率逐